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Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings

This study's objective was to determine how frontline physicians perceived telehealth for older adults with sensory impairments, cognitive impairments, mobility challenges, or those receiving end-of-life care. We conducted a multiple-methods study of US emergency, geriatric, and primary care ph...

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Autores principales: Serina, Peter T, Davoodi, Natalie M, Guthrie, Kate M, Merchant, Roland C, Goldberg, Elizabeth M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017932/
https://www.ncbi.nlm.nih.gov/pubmed/36936379
http://dx.doi.org/10.1177/23743735231160418
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author Serina, Peter T
Davoodi, Natalie M
Guthrie, Kate M
Merchant, Roland C
Goldberg, Elizabeth M
author_facet Serina, Peter T
Davoodi, Natalie M
Guthrie, Kate M
Merchant, Roland C
Goldberg, Elizabeth M
author_sort Serina, Peter T
collection PubMed
description This study's objective was to determine how frontline physicians perceived telehealth for older adults with sensory impairments, cognitive impairments, mobility challenges, or those receiving end-of-life care. We conducted a multiple-methods study of US emergency, geriatric, and primary care physicians. Phase 1 involved semi-structured interviews with 48 physicians on their experiences using telehealth with older adults. In phase 2, we used those qualitative findings to generate a web-based survey administered to 74 physicians. In phase 3, we reintegrated qualitative data to enrich survey results. We identified 3 key findings: (1) 50% of emergency physicians, 33% of geriatricians, and 18% of primary care physicians considered telehealth to be a poor substitute for providing end-of-life care (p = .68); (2) for hearing, vision, and cognitive impairments, 61%, 58%, and 54%, respectively, saw telehealth as a good or fair substitute for providing care (p = .14); and (3) 98% indicated that telehealth was a good or fair substitute for in-person care for those with mobility impairment (p < .001). Preferences and comfort using telehealth with older adults vary by clinical context, patient population, and physician specialty, requiring tailored adaptations.
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spelling pubmed-100179322023-03-17 Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings Serina, Peter T Davoodi, Natalie M Guthrie, Kate M Merchant, Roland C Goldberg, Elizabeth M J Patient Exp Technology and Digital Innovations in Patient Experience This study's objective was to determine how frontline physicians perceived telehealth for older adults with sensory impairments, cognitive impairments, mobility challenges, or those receiving end-of-life care. We conducted a multiple-methods study of US emergency, geriatric, and primary care physicians. Phase 1 involved semi-structured interviews with 48 physicians on their experiences using telehealth with older adults. In phase 2, we used those qualitative findings to generate a web-based survey administered to 74 physicians. In phase 3, we reintegrated qualitative data to enrich survey results. We identified 3 key findings: (1) 50% of emergency physicians, 33% of geriatricians, and 18% of primary care physicians considered telehealth to be a poor substitute for providing end-of-life care (p = .68); (2) for hearing, vision, and cognitive impairments, 61%, 58%, and 54%, respectively, saw telehealth as a good or fair substitute for providing care (p = .14); and (3) 98% indicated that telehealth was a good or fair substitute for in-person care for those with mobility impairment (p < .001). Preferences and comfort using telehealth with older adults vary by clinical context, patient population, and physician specialty, requiring tailored adaptations. SAGE Publications 2023-03-14 /pmc/articles/PMC10017932/ /pubmed/36936379 http://dx.doi.org/10.1177/23743735231160418 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Technology and Digital Innovations in Patient Experience
Serina, Peter T
Davoodi, Natalie M
Guthrie, Kate M
Merchant, Roland C
Goldberg, Elizabeth M
Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings
title Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings
title_full Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings
title_fullStr Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings
title_full_unstemmed Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings
title_short Physician Views of Telehealth for Special Populations of Older Adults: Preliminary Findings
title_sort physician views of telehealth for special populations of older adults: preliminary findings
topic Technology and Digital Innovations in Patient Experience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017932/
https://www.ncbi.nlm.nih.gov/pubmed/36936379
http://dx.doi.org/10.1177/23743735231160418
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